Laserfiche WebLink
SAN JOAQUIN COUNTY Paye 1 <br /> ENVIRONMENTAL HEALTH DEPARTM' <br /> 304 E WEBER AVE -3RD FLOOR r+ <br /> STOCKTON, CA 95202 <br /> Phone: (209) 468-3420 <br /> INVOICE A=unt ID AR0017429 <br /> Facility ID FA0010429 <br /> Date Printed F 2/5/2004 <br /> LEMENNEEMEMOMMEM <br /> DOUBLE A TRUCK SVC RE : DOUBLE A TRUCK SVC <br /> PO BOX 7310 1675 W CHARTER WAY D <br /> STOCKTON, CA 95267 STOCKTON, CA 95206 <br /> OWNER : ANDREW SALMERON SR <br /> Date Health <br /> PnoyidlT Desvnpt— Amount <br /> Invoice# IN0116018—Date of Invoice: 2/4/2004 <br /> 2/4/2004 2220 SM HW GEN<5 TONS/YR $ 200.00 <br /> 2/4/2004 2244 2004 HAZMAT FEE $ 270.00 <br /> 2/4/2004 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE $ 24.00 <br /> Total for this Invoice $ 494.00 <br /> 1v�Vr Payment Due Date 3/612004 <br /> 11 <br /> P EN 1:1—T1 Y O • ' OTAL DUE this Billing Period $ 494.00 <br /> PAYMENT <br /> RECEIVED <br /> MAY 3 2004 <br /> SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL <br /> HEALTH DEPARTMENT <br /> Please make Checks PAYABLE to: 'EHD' — Return a Copy of This STATEMENT with Your PAYMENT <br /> Penalties will be added to all Permit Fees For DES/HMMP Fees For all SERVICE FEES <br /> at the Rate of 100%of the Base Fee Penalties will be added at the Rate of 10% Penalties will be added at the Rate of 10 <br /> 30 Days after the Due Date 45 Days after the Invoice Date 60 Days after the Invoice Date and each 30 Days thereafter <br /> 5255.rpt <br />